NPI: 1619038098 · CABOT, AR 72023 · General Practice Dentistry · NPI assigned 12/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,427 | $34K |
| 2019 | 948 | $24K |
| 2020 | 565 | $16K |
| 2021 | 31 | $375.25 |
| 2024 | 12 | $319.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 597 | 530 | $26K |
| D0120 | Periodic oral evaluation - established patient | 729 | 636 | $18K |
| D0272 | Bitewings - two radiographic images | 512 | 457 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 436 | 393 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 429 | 336 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 240 | 197 | $3K |
| D0140 | Limited oral evaluation - problem focused | 40 | 39 | $1K |